Individual provider Active NPI

Misti Dawn Mustain, T LMLP

  • Psychologist
  • Parsons, KS
National Provider Identifier
1376636498
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
TLMLP850 Issued in KS
Practice address
1730 Belmont
Parsons, KS 67357-0258
Phone
(620) 421-3770
Fax
(620) 421-0665
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X TLMLP850 KS Primary

Addresses

Primary practice location

1730 Belmont
Parsons, KS 67357-0258

Mailing address

PO Box 258
1730 Belmont
Parsons, KS 67357-0258
Phone (620) 421-3770

Other identifiers 1

IdentifierTypeStateIssuer
119881OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TLMLP850KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Labette Center for Mental Health Services Incorporated Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376636498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258",
            "address_2": "1730 BELMONT",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673570258",
            "telephone_number": "620-421-3770",
            "fax_number": "620-421-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 BELMONT",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673570258",
            "telephone_number": "620-421-3770",
            "fax_number": "620-421-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAIN",
        "first_name": "MISTI",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "T LMLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "TLMLP850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "119881",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.